Fulton, Gina Elise

Fulton, Gina Elise is an individual health care provider with primary practice located at 1005 Grove Rd , Greenville SC 29605-4630. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Fulton, Gina Elise can be contacted via phone (864) 455-6900.

Contact Information

Primary practice address
1005 Grove Rd Greenville SC 29605-4630
Phone: (864) 455-6900
Fax: (864) 255-5619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 19762 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 19762 South Carolina

Profile Details

NPI number 1013388438
LBN Legal business name Fulton, Gina Elise
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2015
Last updated May 25th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013388438 NPPES
South Carolina MEDICAID NP3477

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